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1.
Am J Pharm Educ ; 84(7): ajpe7728, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32773829

RESUMEN

Objective. To assess pharmacy residency match/placement rates and student perceptions of a program designed to enhance Doctor of Pharmacy (PharmD) student competitiveness for postgraduate residency positions. Methods. The Scholars Program was developed to provide advanced training to select PharmD students who had an interest in postgraduate residency training and was completed during the third and fourth professional years. The program consisted of mentoring; elective coursework encompassing clinical practice, teaching, and leadership; modified experiential education; journal club meetings; teaching assistant duties; conducting research and/or scholarship; and delivering professional presentations. Residency match/placement rates of students who had completed the program were compared to national data and to students in the school who were not enrolled in the program. Perceptions of the program were assessed using an online survey. Results. Sixty-four students enrolled in and completed the Scholars Program from 2013 to 2019. Of these, 58 (91%) pursued postgraduate residency training. Students enrolled in the program had a higher combined phase 1/phase 2 match rate (91.4% vs 67.4%) than students in other PharmD programs across the United States. Similarly, students enrolled in the Scholars Program had a higher combined phase 1/phase 2 match rate (91.4% vs 62.9%) and overall residency placement rate (96.6% vs 67.0%) compared to students in the school who were not enrolled in the program. More than 85% of students enrolled in the Scholars Program who pursued residency training agreed that the program prepared them for and helped them attain a postgraduate residency. Conclusion. Pharmacy students enrolled in the Scholars Program experienced high residency match/placement rates and viewed the program as valuable preparation for postgraduate training.


Asunto(s)
Educación de Postgrado en Farmacia/métodos , Internado y Residencia/métodos , Residencias en Farmacia/métodos , Estudiantes de Farmacia/psicología , Curriculum/estadística & datos numéricos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Becas/estadística & datos numéricos , Humanos , Internado y Residencia/estadística & datos numéricos , Mentores/psicología , Mentores/estadística & datos numéricos , Servicios Farmacéuticos/estadística & datos numéricos , Farmacia/estadística & datos numéricos , Aprendizaje Basado en Problemas/métodos , Aprendizaje Basado en Problemas/estadística & datos numéricos , Facultades de Farmacia/estadística & datos numéricos , Estudiantes de Farmacia/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Estados Unidos
2.
Am J Pharm Educ ; 84(7): ajpe7803, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32773833

RESUMEN

Objective. To describe the landscape of teaching and learning curriculum (TLC) programs sponsored by US schools and colleges of pharmacy and evaluate their adoption of best practice recommendations. Methods. A 28-item electronic survey instrument was developed based on best practice recommendations published by the American Association of Colleges of Pharmacy (AACP), American Society of Health-System Pharmacists (ASHP), and American College of Clinical Pharmacy (ACCP) for the conduct of TLC programs. The survey instrument was electronically distributed to 137 accredited colleges and schools of pharmacy in the United States. Results. Eighty-eight institutions responded, resulting in a response rate of 64%. Sixty-one TLC programs were included in the final analysis. Seventy-five percent of TLC programs reported using best practice recommendations; however, 10% of respondents indicated they were not aware of the published recommendations. Inconsistencies among programs were noted in required teaching experiences, participant evaluation, and ongoing programmatic assessment. Conclusion. Most institutions offering TLC programs are aware of published best practice guidelines and have adopted a majority of the published best practices. However, considerable variability exists across the country. Development of a formal external validation process for TLC programs is necessary to ensure consistent quality.


Asunto(s)
Curriculum/estadística & datos numéricos , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Facultades de Farmacia/estadística & datos numéricos , Universidades/estadística & datos numéricos , Humanos , Internado no Médico/métodos , Internado no Médico/estadística & datos numéricos , Aprendizaje , Farmacéuticos/estadística & datos numéricos , Farmacia/estadística & datos numéricos , Servicio de Farmacia en Hospital/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos , Enseñanza/estadística & datos numéricos , Estados Unidos
3.
Curr Pharm Teach Learn ; 12(6): 641-647, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32482265

RESUMEN

INTRODUCTION: The purpose of this study is to identify doctor of pharmacy and pharmaceutical sciences students' perceived barriers to mental health care and interest in mental health interventions and to assess student attitudes and perceptions of mental illness. METHODS: A mixed-methods survey was given to 706 students participating in a doctor of pharmacy and pharmaceutical sciences curricula to assess students' perceived barriers to care, interest in mental health resources and interventions within their curricula, attitudes towards seeking treatment, and perceived stigma. The last section included free text responses in which students expressed additional comments unacknowledged by previous sections. Quantitative data was analyzed using descriptive statistics, and free text responses were analyzed using thematic coding. RESULTS: From February to March 2018, 256 responses were received out of 706 students with a response rate of 36%. The most cited barriers to seeking mental health treatment were lack of time, lack of finances, and stigma-related concerns (25%, 13%, and 11%, respectively) with the most desired interventions being the implementation of an onsite counselor and wellness space. A majority of participants (88%) believe professional help for mental illness is effective; however, 63% cited they were negatively impacted by internal stigma. Common themes addressed in the free text responses reinforced these ideas and included additional responses regarding the impact of school culture. CONCLUSION: Students within a doctor of pharmacy and pharmaceutical sciences program experience non-stigma and stigma-related barriers to seeking mental health treatment.


Asunto(s)
Accesibilidad a los Servicios de Salud/normas , Evaluación de Necesidades/estadística & datos numéricos , Estudiantes de Farmacia/psicología , Adulto , Actitud del Personal de Salud , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/estadística & datos numéricos , Femenino , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Humanos , Masculino , Estigma Social , Estudiantes de Farmacia/estadística & datos numéricos
4.
J Pharm Pract ; 33(1): 15-20, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29898622

RESUMEN

BACKGROUND: Literature regarding career trajectory for postgraduate year 2 (PGY-2) pharmacy residency specialty-trained pharmacists is limited. OBJECTIVE: The objective of our study is to describe PGY-2 pharmacy residency training on career practice and satisfaction. METHODS: A cross-sectional study surveyed graduates of PGY-2 pharmacy residency programs. Respondents were identified by current PGY-2 residency program directors requesting participation from their program alumni. The primary outcome was whether PGY-2 residency-trained pharmacists continued working within their specialty or not. Secondary outcomes included alternative specialty areas, current satisfaction with their specialty, and the necessity of completing a PGY-2. RESULTS: Among 647 respondents, 84% completed their program in the past 6 years. The top 3 represented pharmacy specialties were critical care (19%), ambulatory care (14%), and oncology (13%). Most respondents continue to practice in the same specialty as their PGY-2 residency program (n = 572, 87%) compared with pharmacists who currently practice in other clinical specialties or areas of pharmacy (n = 83, 13%). Critical care (n = 28, 33%) had the largest specialty response no longer practicing in their PGY-2 residency program specialty with 42% (n = 12) now practicing within the emergency medicine specialty. The average satisfaction for their current specialty was 4.7 ± 0.82 (Likert scale of 1 = extremely dissatisfied to 5 = extremely satisfied). CONCLUSIONS: The vast majority PGY-2 pharmacy residency-trained pharmacists experienced training-practice concordance and are satisfied with their trained specialty. Among those with specialty training practice discordance, critical care training was most prevalent.


Asunto(s)
Educación de Postgrado en Farmacia/estadística & datos numéricos , Residencias en Farmacia/tendencias , Selección de Profesión , Cuidados Críticos , Estudios Transversales , Medicina de Emergencia/educación , Humanos , Estudiantes de Farmacia/estadística & datos numéricos , Encuestas y Cuestionarios
5.
Curr Pharm Teach Learn ; 12(1): 20-26, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31843160

RESUMEN

INTRODUCTION: The optimal method to increase pharmacy resident knowledge and confidence toward research remains unknown. OBJECTIVE: This study evaluated the impact of a structured curriculum on pharmacy residents' knowledge, confidence and attitude toward biostatistics and research. METHODS: This prospective, multicenter study included pharmacy residents from 2016 to 2017. Residents underwent research training with (1) 60-hours of online modules delivered by multidisciplinary senior faculty (MD, PhD), (2) a 2-day interactive workshop delivered by experienced pharmacy researchers and (3) a mentored longitudinal research experience. Fifteen residents were invited to complete a questionnaire at baseline and again before graduation to measure knowledge, confidence and attitudes about research. Residents were followed for one additional year to measure peer-reviewed publications. RESULTS: Eleven (73%) residents provided complete responses to ≥1survey domain. At baseline, 27% of respondents reported being at least somewhat confident about their biostatistics and research skills (a favorable response for ≥5 of the 9 confidence items). At follow-up, 91% self-reported confidence. Self-reported familiarity with statistical terminology (a score of 4 or 5) increased from 19% at baseline to 82% at follow-up. The mean correct score on the knowledge items at baseline was 15 ±â€¯2.5 (total possible 28) and increased to 20 ±â€¯2.7 after training. By one year after graduation, 53% of residents published at least 1 peer-reviewed manuscript and 20 peer-reviewed publications as first or co-author with a median journal impact factor of 3.16 (IQR: 2.61-4.59). CONCLUSION: This study provides a framework for sustainable, multidisciplinary, multimodal research education that increased confidence and knowledge among pharmacy residents and resulted in tangible contributions to the scientific literature. Future studies should explore long-term knowledge gained and publications.


Asunto(s)
Competencia Clínica/normas , Educación de Postgrado en Farmacia/normas , Comunicación Interdisciplinaria , Residencias en Farmacia/normas , Bioestadística , Competencia Clínica/estadística & datos numéricos , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Residencias en Farmacia/métodos , Residencias en Farmacia/estadística & datos numéricos , Estudios Prospectivos , Encuestas y Cuestionarios
6.
Am J Pharm Educ ; 83(8): 6967, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31831892

RESUMEN

Objective. To design, implement and assess a lesbian, gay, bisexual, and transgender (LGBT) health and practice elective course for second- and third-year Doctor of Pharmacy (PharmD) students. Methods. The course focused on health promotion, health care barriers, disease prevention, and treatment throughout an LGBT person's lifespan. The course included topic discussions, reading assignments, various active-learning activities, an objective structured clinical examination (OSCE) with a transgender person, and guest speakers from the LGBT community. Five quizzes were administered during the course that were mapped to specific session learning objectives and course learning outcomes. Students completed an anonymous pre- and post-course survey on the seven course learning outcomes to assess their knowledge and skills regarding the health of LGBT people. Results. Students exhibited significant learning with improvement in the seven course learning outcomes. The two most improved course learning outcomes were the medications used for LGBT people and summarizing health care resources available to LGBT people. The content of student portfolios included general themes of discrimination, health care access problems, advocacy, inclusive pharmacy environments, and desire to be a better practitioner. More than 91% of the students actively engaged the guest speakers from the LGBT community. Student performance on quizzes and in the OSCE activity was excellent. The capstone presentations covered a variety of topics including LGBT in Islam. Conclusion. Students demonstrated knowledge of the unique health care issues among the LGBT community. This elective course provides a framework for other pharmacy programs to incorporate LGBT health topics into the curriculum and to engage with their local LGBT community.


Asunto(s)
Curriculum/estadística & datos numéricos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Minorías Sexuales y de Género/educación , Estudiantes de Farmacia/estadística & datos numéricos , Personas Transgénero/educación , Actitud del Personal de Salud , Femenino , Promoción de la Salud/estadística & datos numéricos , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Humanos , Masculino , Encuestas y Cuestionarios
7.
Am J Pharm Educ ; 83(8): 7240, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31831903

RESUMEN

Objective. To explore the relationship between pharmacy students' social and behavioral competencies assessed using multiple mini-interviews (MMIs) and their personality traits. Methods. A retrospective study was conducted using data from two Doctor of Pharmacy (PharmD) cohorts. Students' self-reported scores from an externally validated tool completed during their first professional year that assessed five personality traits (openness to experiences, conscientiousness, extraversion, agreeableness, and emotionality) were collected. Students' scores on empathy, integrity, adaptability, critical thinking, and collaboration were collected during MMIs conducted during the admissions process. Analysis of variance was used to test the homogeneity of the sample, and correlation analyses were used to determine the strength of relationships between variables. Results. When examining for associations between students' personality traits and their social and behavioral competencies measured during the MMIs, we found a few significant but very weak correlations with extraversion. Conclusion. Our results revealed weak to negligible correlations between scores on competencies measured during the MMIs and personality traits, potentially because the assessments measured different constructs.


Asunto(s)
Educación de Postgrado en Farmacia/estadística & datos numéricos , Personalidad/fisiología , Estudiantes de Farmacia/estadística & datos numéricos , Empatía/fisiología , Humanos , Estudios Retrospectivos , Autoinforme/estadística & datos numéricos , Encuestas y Cuestionarios/estadística & datos numéricos
8.
Am J Pharm Educ ; 83(8): 7246, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31831905

RESUMEN

Objective. To compare educational outcomes between two iterations of a scholarship and research course for Doctor of Pharmacy (PharmD) students at Virginia Commonwealth University's School of Pharmacy. Methods. The first iteration of a course intended to teach pharmacy students the knowledge and skills necessary to design and conduct research involved lectures and application exercises, including limited guided questions about different aspects of the research process. In the fall of 2015, multiple structured activities and accompanying grading rubrics, each designed around the structure and content of a section of a research proposal, were introduced to the course to supplement lectures. Both iterations of the course culminated with students submitting a research proposal. After establishing interrater reliability, faculty members graded a random sample of 20 research proposals, 10 from each version of the course, and section-specific and overall proposal scores were compared. Results. In the proposals submitted after the course revisions, significant improvements in three areas were identified: the overall score, the section-specific scores for research hypothesis/specific aims, and institutional review board (IRB) discussion/informed consent. Nominal, though not statistically significant, improvements were observed in other sections. Conclusion. Additional research is needed regarding the best instructional strategies to reinforce data analysis and statistical testing knowledge and skills in PharmD students. Overall, our findings support the hypothesis that a more formalized, guided approach for teaching research methods improves learning outcomes for PharmD students.


Asunto(s)
Educación de Postgrado en Farmacia/estadística & datos numéricos , Evaluación Educacional/estadística & datos numéricos , Becas/estadística & datos numéricos , Estudiantes de Farmacia/estadística & datos numéricos , Curriculum/estadística & datos numéricos , Docentes/estadística & datos numéricos , Humanos , Aprendizaje , Reproducibilidad de los Resultados
9.
Am J Pharm Educ ; 83(8): 7299, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31831906

RESUMEN

Objective. To design, implement, and assess the use of "educational prescriptions" or Education Rx assignments in advanced pharmacy practice experiences (APPEs) in ambulatory care, and to assess the impact of the assignments on Doctor of Pharmacy (PharmD) students' self-efficacy to practice evidence-based medicine (EBM). Methods. Students enrolled in select ambulatory care APPEs completed up to four Education Rx assignments. The assignments required students to report the context of the question, source of information, results, appraisal of validity, and relevance of the evidence, and to answer the clinical question. A rubric was used that contained three subparts: a patient/population, intervention, comparison, outcome (PICO) conformity score (8 points), presence of answer to the PICO (1 point), and quality of answer to the PICO (6 points). Demographic information was collected and students were surveyed at the end of the APPE to rate their self-efficacy executing seven evidence-based medicine (EBM) skills. Results. Thirty students completed 110 Education Rxs. The average score (SD) was 13.6 (2.2) with a PICO conformity subsection score of 7.3 (1.3), and quality of answer subsection score of 5.3 (1.2). Only one Education Rx did not have an answer. Students consulted point-of-care references for a majority of the answers (65%). Sixteen (53%) students completed the self-assessment survey, and all strongly agreed or agreed that the Education Rx activity improved their ability to formulate a well-constructed clinical question and evaluate and apply the evidence. Conclusion. Through Education Rxs, PharmD students' self-confidence and their skills in finding answers to clinical questions increased.


Asunto(s)
Atención Ambulatoria/estadística & datos numéricos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Medicina Basada en la Evidencia/estadística & datos numéricos , Estudiantes de Farmacia/estadística & datos numéricos , Instituciones de Atención Ambulatoria/estadística & datos numéricos , Competencia Clínica/estadística & datos numéricos , Curriculum/estadística & datos numéricos , Evaluación Educacional/estadística & datos numéricos , Humanos , Servicios Farmacéuticos/estadística & datos numéricos , Aprendizaje Basado en Problemas/estadística & datos numéricos , Autoeficacia , Encuestas y Cuestionarios/estadística & datos numéricos
10.
Curr Pharm Teach Learn ; 11(10): 1035-1040, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31685173

RESUMEN

INTRODUCTION: Partner institutions invest much time and effort into educating pharmacy students, and ideally students should be viewed as valuable to those sites. Prior studies have demonstrated the perceptions that preceptors and administrators have about the value of students at their sites. However, students' perceptions of their own value at practice sites have not been described. Students do have perceptions about their own value to sites, and such information could be useful in learning about potential areas in which students perceive they are making an impact on patient care. METHODS: Five hundred qualitative student responses to an evaluation question regarding perceived value were analyzed from a United States pharmacy school. Nineteen categories of value were extracted. Responses fit into multiple categories, resulting in 783 data points for analysis. The categories were analyzed overall and with respect to advanced pharmacy practice experience (APPE) type (acute care, community, hospital, ambulatory care, and elective). Descriptive statistics were used. RESULTS: Providing patient counseling (15.7%) and therapeutic recommendations (14.7%) were the highest perceived values. In adult acute care and hospital APPEs, "providing therapeutic recommendations" (24.4% and 19.1% respectively) were rated highest. In community, ambulatory care, and elective APPEs, "providing patient counseling" (25%, 23%, and 13.8%, respectively) was highest rated. CONCLUSIONS: Students perceive they are valuable to practice sites in several ways. These results demonstrate that students' self-reported perceptions of the value they bring to their sites are consistent with other literature reports based on perception of preceptors regarding student value to patient care.


Asunto(s)
Educación de Postgrado en Farmacia/normas , Percepción , Estudiantes de Farmacia/psicología , Certificación , Curriculum/tendencias , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Humanos , Servicio de Farmacia en Hospital/métodos , Aprendizaje Basado en Problemas , Investigación Cualitativa , Estudiantes de Farmacia/estadística & datos numéricos
11.
Curr Pharm Teach Learn ; 11(7): 678-685, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31227090

RESUMEN

INTRODUCTION: The purpose of this study was to evaluate graduates' perceptions of the impact of a teaching (education) specialization and identify aspects of the specialization that could be enhanced. METHODS: A 20-item online survey was emailed to graduates of the education specialization at Southern Illinois University Edwardsville School of Pharmacy. Data was analyzed using descriptive statistics. Regression analysis was used to examine (1) association between overall self-rated competence on abilities and skills as a teacher and the number of types of teaching experiences and (2) association between overall self-rated competence on abilities and skills as a teacher and history of holding a faculty position. Chi square was used to determine differences between the two cohorts in confidence areas. RESULTS: Fifty-six out of 69 alumni (81.2%) responded to the survey. Graduates reported high levels of confidence in most teaching abilities. There was a high level of agreement that the specialization enhanced motivation to teach. Regression analysis indicated statistically significant associations between self-rated competence on abilities and skills across a variety of teaching experiences (e.g., classroom lecturing, precepting, continuing education, staff training, lab instruction, facilitating small groups) and history of faculty employment. Enhanced skills in experiential education and teaching outside of academia were identified as further areas for development. CONCLUSION: The education specialization offered at Southern Illinois University Edwardsville School of Pharmacy may be an alternative entry level PharmD pathway for stimulating interest in academia. The majority of graduates agreed that they have applied the knowledge and skills to their careers.


Asunto(s)
Percepción , Farmacéuticos/psicología , Especialización/normas , Enseñanza/tendencias , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/estadística & datos numéricos , Humanos , Illinois , Farmacéuticos/estadística & datos numéricos , Especialización/estadística & datos numéricos , Encuestas y Cuestionarios
12.
Curr Pharm Teach Learn ; 11(5): 461-468, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31171247

RESUMEN

INTRODUCTION: The purpose of this study was to examine the relationship between participation in co-curricular activities and academic performance of pharmacy students enrolled in a traditional PharmD program. METHODS: Pharmacy students self-reported their activities in an online portfolio, allowing calculation of equivalent hours spent in co-curricular pursuits in a given academic year for each student during the six year period. Inferential statistics were used to elucidate the differences in co-curricular engagement by student rank, progression status, and leadership experience as well as differences in grade point average (GPA) by level of co-curricular participation and leadership experience. RESULTS: Participation in co-curricular activities was less for students earning a deficiency than students with satisfactory academic performance. Students who were very engaged in co-curricular activities earned higher GPAs on average and were more likely to hold a leadership position. Leaders earned higher GPAs, were less likely to incur academic deficiencies, and were more involved in all types of co-curricular activities than students who did not hold a leadership position. CONCLUSIONS: The results of this study offer evidence in support of the importance of co-curricular involvement to the development of the whole pharmacy student, including academic success. The provision of co-curricular opportunities by pharmacy programs provides personal and professional development opportunities to students and supports deep learning associated with improved academic performance and overall success.


Asunto(s)
Éxito Académico , Educación de Postgrado en Farmacia/métodos , Educación/normas , Estudiantes de Farmacia/estadística & datos numéricos , Educación/métodos , Educación/estadística & datos numéricos , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/estadística & datos numéricos , Evaluación Educacional/métodos , Humanos , Liderazgo , South Carolina
13.
Curr Pharm Teach Learn ; 11(5): 469-475, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31171248

RESUMEN

INTRODUCTION: This study was conducted to update current literature on the characteristics of dual doctor of pharmacy (PharmD) and master of business administration (MBA) programs in the United States. METHODS: After a preliminary search of institutions' websites for public information regarding PharmD/MBA programs, an email was sent to representatives of each school requesting additional promotional or program information that was not found online. After the data was collected and organized, an electronic survey was sent to each representative. Characteristics obtained include those related to program history, student and school demographics, enrollment requirements, and program structure. RESULTS: Sixty-six schools of pharmacy were included in the study and asked to complete an electronic survey, and 36 (54%) programs responded. The oldest program was established 29 years ago, while most of the programs (43%) have been active for 11 to 20 years. Programs were similar in enrollment requirements, point of entry, and time to dual degree completion. Programs varied in the program structure, including how dual degrees are awarded. CONCLUSIONS: This study provides updated information about the characteristics of dual PharmD/MBA programs across the United States. This information may be useful to programs interested in developing or modifying existing dual programs and to students deciding whether to pursue a dual PharmD/MBA.


Asunto(s)
Comercio/educación , Educación de Postgrado en Farmacia/clasificación , Facultades de Farmacia/clasificación , Comercio/estadística & datos numéricos , Educación de Postgrado/clasificación , Educación de Postgrado/métodos , Educación de Postgrado/estadística & datos numéricos , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Escolaridad , Humanos , Facultades de Farmacia/organización & administración , Facultades de Farmacia/estadística & datos numéricos , Estados Unidos , Universidades/clasificación , Universidades/organización & administración , Universidades/estadística & datos numéricos
14.
Curr Pharm Teach Learn ; 11(5): 505-512, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31171253

RESUMEN

BACKGROUND AND PURPOSE: Clinical toxicology is a blend of science, research, and patient management practices involving human poisonings from exposure to natural and synthetic toxins. The objective of this study was to describe the components of an elective advanced pharmacy practice experience (APPE) in clinical toxicology at California Poison Control System (CPCS). EDUCATIONAL ACTIVITY AND SETTING: The APPE requirements included a mix of active participation in case management and supplemental educational exercises, case presentations and consultations, and a structured self-study component consisting of readings and on-line modules. In addition, there were two active learning activities, high acuity poisoning simulation scenarios utilizing a high-fidelity mannequin, and an antidote tasting session. FINDINGS: From April 2012 to October 2017, 82 student pharmacists completed this APPE. Pharmacy students completed 85 pre-simulation surveys and 80 post-simulation surveys. Survey results showed an increase in pharmacy student beliefs that a clinical pharmacist should be involved in the differential diagnosis and management of patients (60% pre-simulation vs. 78.8% post-simulation, p = 0.009). APPE pharmacy students completed an evaluation of the preceptors(s), site, and learning experience. The average score for all areas on the preceptor and site evaluations was >4.5 on a 5-point Likert scale. Qualitative data themes included student satisfaction with opportunities, feedback, and the interprofessional and collaborative environment. SUMMARY: An APPE in the CPCS was successfully designed and implemented. The APPE provides an interprofessional collaborative learning environment that allows student pharmacists to understand the unique role of the pharmacist in this setting.


Asunto(s)
Educación de Postgrado en Farmacia/métodos , Grupo de Atención al Paciente/estadística & datos numéricos , Estudiantes de Farmacia/estadística & datos numéricos , Toxicología/educación , California , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/estadística & datos numéricos , Evaluación Educacional/métodos , Humanos , Centros de Control de Intoxicaciones/organización & administración , Centros de Control de Intoxicaciones/estadística & datos numéricos , Aprendizaje Basado en Problemas/métodos , Aprendizaje Basado en Problemas/estadística & datos numéricos , Investigación Cualitativa , Encuestas y Cuestionarios , Toxicología/estadística & datos numéricos
15.
Curr Pharm Teach Learn ; 11(5): 528-532, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31171256

RESUMEN

BACKGROUND AND PURPOSE: Curricular integration has long been advocated in healthcare education as a strategy to enhance academic experiences, facilitate higher-order learning, and bridge various disciplines. The study's purpose was (1) to assess the early impact of a new integrated pharmacy curriculum on course evaluations and learning of the clinical sciences when compared to the traditional curriculum and (2) to describe logistical enhancers and challenges that should be considered before and during the rollout of similar curricula. EDUCATIONAL ACTIVITY AND SETTING: An integrated curriculum was designed to combine the clinical (therapeutics) and basic sciences (pharmacology, medicinal chemistry) using an organ-system approach within a Doctor of Pharmacy (PharmD) program. Beginning in the second professional year, the nine-course sequence was delivered in a modified block format. Study outcomes compared data (course evaluations and exam performance) from the traditional and integrated curriculums. FINDINGS: When comparing student course evaluations, there were no significant differences. Student commentary conveyed concerns on the ability to retain and apply material within a modular block course series. There was positive feedback regarding the integrated workshop cases in the new curriculum. The mean percentage difference in student performance for respective clinical science topics ranged from +0.8 to -3.9%. SUMMARY: Results provide insight on a transitional period between traditional and integrated curricular approaches in a United States accredited PharmD program. Future efforts will include evaluating its impact on college-specific outcomes, curricular satisfaction, and student performance on various assessment activities.


Asunto(s)
Curriculum/normas , Escolaridad , Estudiantes de Farmacia/psicología , Curriculum/estadística & datos numéricos , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/estadística & datos numéricos , Evaluación Educacional/métodos , Humanos , New York , Evaluación de Resultado en la Atención de Salud , Evaluación de Programas y Proyectos de Salud/métodos , Estudiantes de Farmacia/estadística & datos numéricos , Encuestas y Cuestionarios , Universidades/organización & administración , Universidades/estadística & datos numéricos
16.
Curr Pharm Teach Learn ; 11(4): 321-328, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-31040007

RESUMEN

INTRODUCTION: Pharmacy schools should encourage self-awareness, provide exposure to the continuous professional development cycle, and intervene early when students exhibit performance deficiencies. Academic success plans (ASPs) have been shown in other disciplines to be successful intervention tools which encourage student reflection and self-awareness. This study evaluates the impact of ASPs used during the advanced pharmacy practice experience (APPE) curriculum at two schools. METHODS: ASPs were assigned to students who had either a "needs development" or lower documented for the same learning outcome during more than one APPE, for poor overall performance during an APPE, or for documented professionalism issues. Average scores were calculated by assigning point values to each learning outcome assessment score (exceeds expectations = 1; competent = 0; needs development, needs significant development, remediation required = -1). RESULTS: During AY2014-2015 and AY2015-2016, 104 ASPs were assigned to 75 students (13.5% of students). The majority (89.6%) were assigned due to repeated deficiencies in the same learning outcome(s), with the most frequent being "Develop, Implement, and Monitor Drug Therapy Plans." After completion of an ASP, average scores significantly improved (p < 0.05) in 9 out of 12 learning outcomes among all students who completed an ASP. Thirteen students completed 15 ASPs for professionalism reasons, most commonly punctuality. CONCLUSIONS: Prior to 2015, Experiential Education Office interventions were primarily grades-based, not necessarily based on achievement of specific learning outcomes. ASPs were successfully used to allow students to practice self-awareness skills, to engage in the CPD process, and to improve APPE performance.


Asunto(s)
Rendimiento Académico/psicología , Educación de Postgrado en Farmacia/métodos , Autoeficacia , Planificación Estratégica/estadística & datos numéricos , Rendimiento Académico/normas , Rendimiento Académico/estadística & datos numéricos , Adulto , Curriculum/tendencias , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mejoramiento de la Calidad
17.
Curr Pharm Teach Learn ; 11(4): 417-423, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-31040018

RESUMEN

BACKGROUND: A focus of delivering effective patient-centered care is working as an interprofessional team. Pharmacy students may harbor stereotypes of other healthcare professions that could impede collaboration. The objective of this study was to assess pharmacy student ratings of pharmacists and other healthcare professionals' characteristics before and after their internal medicine advanced pharmacy practice experience (APPE) to determine if the APPE altered their stereotypes. A pre- and post-survey utilizing the Student Stereotypes Rating Questionnaire (SSRQ) was used to carry out the study goals. IMPACT: Students had more interactions with pharmacists, physicians, and nurses than with other professionals. Pharmacy students' perceptions of their own profession (autostereotypes) were higher compared to the other disciplines, with a movement towards equality following APPE completion. Students also rated professionals lower if they completed the survey in earlier APPE blocks. These results are limited by the lack of coupling between surveys, a low response rate, and incomplete surveys. RECOMMENDATIONS: Methods that would have strengthened results include focusing on the healthcare professionals that students interacted with most, quantifying the number of experiences they had with each group before and after the rotation, requiring answers to all survey questions, and a strategy to match pre- and post-survey results. DISCUSSION: Despite the limitations of the study, the experiences gained during the APPE positively impacted student perceptions and attitudes towards other healthcare disciplines. This experience type may be a key component to producing pharmacy graduates who are prepared to work collaboratively with other professionals.


Asunto(s)
Educación de Postgrado en Farmacia/normas , Medicina Interna/educación , Estereotipo , Estudiantes de Farmacia/psicología , Adulto , Actitud del Personal de Salud , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Personal de Salud/educación , Personal de Salud/psicología , Humanos , Medicina Interna/métodos , Medicina Interna/normas , Masculino , Percepción , Estudiantes de Farmacia/estadística & datos numéricos , Encuestas y Cuestionarios
18.
Am J Pharm Educ ; 83(2): 6515, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30962636

RESUMEN

Objective. To characterize the practices and perceptions of recent post-graduate year 2 (PGY2) critical care pharmacy (CCP) residents surrounding the completion and publication of their primary research project. Methods. Potential factors and perceptions influencing primary research project publication success were identified and incorporated in a validated electronic survey distributed to 2011 and 2012 PGY2 CCP residency program graduates. Results. Among the 94/124 (76%) respondents, 26% had published their research project (67% were first authors; 50% were successful on first submission), while 36% still planned to pursue publication, and 38% had no plans for their manuscript. Factors more commonly reported by publishing (vs. non-publishing) PGY2 graduates included: publication of their PGY1 research project, any publication during the PGY2 year, and national presentation of the PGY2 research project. Perceptions associated with research project publication success were a higher degree of self-motivation to publish, post-PGY2 mentor support, project's publication deemed important to post-PGY2 employer, adequate training for manuscript submission, and adequate time during residency for manuscript completion. Two factors, ≥1 publication during PGY2 [odds ratio (OR)=3.7; 95% confidence interval (CI) 1.3, 10.2] and research project presentation at a national conference (OR=4.5; 95% CI 1.2, 16.9); and two perceptions, self-motivation to publish (OR=8.1; 95% CI 1.7, 37.7) and post-PGY2 mentor support (OR=3.3; 95% CI 1.1, 9.8) were independently associated with publication success. Conclusion. Only one-quarter of PGY2 CCP residents published their primary research project. PGY2 programs should consider those factors associated with research project publication success when formulating strategies to increase resident publication rates.


Asunto(s)
Publicaciones/estadística & datos numéricos , Cuidados Críticos , Estudios Transversales , Educación de Postgrado en Farmacia/estadística & datos numéricos , Humanos , Internado y Residencia , Investigación , Estados Unidos
19.
Am J Pharm Educ ; 83(2): 6864, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30962643

RESUMEN

Objective. To determine the current state of employment for doctor of pharmacy (PharmD) graduates based on 5-year trends among graduates of research-intensive institutions and the Pharmacist Demand Index. Methods. Data from a cross-sectional survey of PharmD graduates from 10 research-intensive colleges of pharmacy conducted over a 5-year period were used to generate an overview of graduating students' experiences and the outcomes of their job searches. Results. The average response rate of graduates of programs over the 5 years was 75.4%. Overall, 86% of graduates had postgraduate placements (ie, jobs, residencies, fellowships, further education) at the time of graduation. Across all years, 85% of respondents who had placements indicated they were satisfied with the postgraduation offer they received. Conclusion. An examination of postgraduate outcomes of research-intensive schools and the Pharmacist Demand Indicator over the past 5 years indicates a trend toward a balance between the supply and demand for pharmacists. Careful attention needs to be given to these two metrics moving forward.


Asunto(s)
Educación de Postgrado en Farmacia/estadística & datos numéricos , Empleo/estadística & datos numéricos , Farmacéuticos/tendencias , Estudios Transversales , Humanos , Internado y Residencia , Satisfacción Personal , Farmacia
20.
Curr Pharm Teach Learn ; 11(3): 243-250, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30904145

RESUMEN

INTRODUCTION: Pharmacy student mental health is of increasing concern to faculty, administrators, and students. The objectives of this study were to investigate the mental health of doctor of pharmacy (PharmD) students at a four-year college of pharmacy (COP), compare components of mental health of PharmD students to the general university campus students, and examine the relationship between academic distress and specific components of mental health. METHODS: The mental health status of PharmD students was measured using the Counseling Center Assessment of Psychological Symptoms (CCAPS-62), a validated survey tool assessing eight subscales of mental health. Comparisons were made within the PharmD student population and to the general campus population at the same university, who were surveyed during the same time period. Statistical analysis included a series of univariate regressions and chi square testing. RESULTS: Fifty-eight percent of PharmD students (193/332) voluntarily participated in the study. Over 25% of PharmD students scored in the high severity range for depression, generalized anxiety, academic distress, and eating concerns. Academic distress scores were significantly worse for second-year PharmD students, while hostility scores were significantly worse for third-year PharmD students. Correlations were identified between academic distress and depression, generalized anxiety, and social anxiety. PharmD scores in several subscales were significantly worse than the general campus population. CONCLUSION: High academic stress levels and poor mental health outcomes were observed in PharmD students. Identification and implementation of methods to reduce the psychological distress of PharmD students are needed.


Asunto(s)
Trastornos Mentales/diagnóstico , Psicometría/estadística & datos numéricos , Estudiantes de Farmacia/psicología , Adulto , Ansiedad/diagnóstico , Ansiedad/epidemiología , Educación de Postgrado en Farmacia/métodos , Educación de Postgrado en Farmacia/estadística & datos numéricos , Relaciones Familiares/psicología , Trastornos de Alimentación y de la Ingestión de Alimentos/diagnóstico , Trastornos de Alimentación y de la Ingestión de Alimentos/epidemiología , Femenino , Humanos , Masculino , Trastornos Mentales/epidemiología , Michigan/epidemiología , Psicometría/instrumentación , Psicometría/métodos , Estudiantes de Farmacia/estadística & datos numéricos , Trastornos Relacionados con Sustancias/diagnóstico , Trastornos Relacionados con Sustancias/epidemiología , Encuestas y Cuestionarios
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